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Tracheobronchomalacia may also occur in people who have normal cartilaginous structure of the trachea, but significant atrophy of the posterior wall, causing significant invagination of the trachea on expiration. In these cases it is more commonly known as excessive dynamic airway collapse (EDAC).
Dynamic compression of the airways results when intrapleural pressure equals or exceeds alveolar pressure, which causes dynamic collapsing of the lung airways. It is termed dynamic given the transpulmonary pressure (alveolar pressure − intrapleural pressure) varies based on factors including lung volume, compliance, resistance, existing pathologies, etc. [1]
Most radiation therapy is planned using the results of a 3D CT scan. A 3D scan largely presents a snapshot of the body at a particular point in time, however due to the time of the acquisition, in which the patient is likely to have moved in some way (even if only breathing), there will be an element of blurring or averaging in the 3D scan. [ 6 ]
Upon expiration there is less air in the lungs, leading to a relative increase in density of the tissue, and thus increased attenuation on CT. Furthermore, when a patient lays supine for a CT scan, the posterior lungs are in a dependent position, causing partial collapse of the posterior alveoli. This leads to an increase in density of the ...
Tracheomalacia occurs when the walls of the trachea collapse. This can happen because the walls of the windpipe are weak, or it can happen because something is pressing on it. This may include hypotonia of the trachealis muscle. [3] The whole windpipe can be affected, or only a short piece of it.
Ensuring an open airway and adequate ventilation may be difficult in people with TBI. [3] Intubation, one method to secure the airway, may be used to bypass a disruption in the airway in order to send air to the lungs. [3] If necessary, a tube can be placed into the uninjured bronchus, and a single lung can be ventilated. [3]
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Atelectasis is the partial collapse or closure of a lung resulting in reduced or absence in gas exchange. It is usually unilateral, affecting part or all of one lung. [2] It is a condition where the alveoli are deflated down to little or no volume, as distinct from pulmonary consolidation, in which they are filled with liquid.